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000wSWn Envelope ID: 38Ar13503ouC-4041-8oA3-94r55EACr58u <br /> ORANGE C USE ONLY <br /> Dmartment <br /> Pmdv/VeodorNonm: Carolina Earthscapes, file. Party/Vendor Contact Person: David Fletcher Contact Phouc: (219) <br /> 730-5373 Pnr�/Voo |nr &ddmau� City Mebane State: NC Zip: 273�` Department: DEAJPR <br /> ----�� <br /> Amount: $4,61N0. Purpose: Fait-view sheiter Repair Budget Code(s):61370035 880000 20039 Vendor#631_0, <br /> o`/m <br /> N <br /> if new Vendor dnr ion BOCC consultant? Yes 0 N No : (Check one) New =[�� Kcuewo| �~ <br /> &mmcodmoui [l Effective Date 1/20/2016 Approved hvBoard Yem[]NuN Agenda Date: <br /> ____ <br /> This agreement io approved outo technical form and content: <br /> iDocuSigned^': <br /> ����odment Director's Signature Dotm:______ <br /> Information Techoolo2ies <br /> 66/mx/yk/hmzh`xx-elso/nvm,ep/ti-o&oxu,mr/v/ tedsmrkxm)Thinogrccmeuthuo6ouurcvienedaodis <br /> approved autn information technology content and specifications: <br /> Office uYtile Chief Information Officer Vo(m:______ <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications,and requirements: <br /> o"""mo""u»,: <br /> Office nK tile Risk Management Officer Du\e:_______ <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control Act: <br /> m="mn"*by- <br /> Office u{tkmC)xteKFln'muuialOfficor oote:_______ <br /> Legal Services <br /> This agreement|oapproved as to legal fo and sufficiency: <br /> (—DocuSigned by: <br /> Office af the County Attorney I r6ufs ute:______ <br /> Clerk to tile Board <br /> Received for record retention: <br /> All D000miAo contracts must bc copied Lv Donna Lloyd upon completion @ Doi loyd0aorangccountyn5j.M <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Office uf the Clerk to the Board Uotc_______ <br /> Revised 1/16 5 <br />